Anesth Pain Med.  2012 Jul;7(3):226-229.

Myocardial bridge detected by changes in ECG before induction: A case report

• Lee JS
• Lee GY
• Lee H
• Kim CH
• Han JI
• Kim JH

Abstract

Myocardial bridge, in which some of the epicardial coronary arterial segments are embedded in the muscle, has clinical significance because serious cardiac diseases such as angina, cardiac ischemia, myocardial infarction, and sudden cardiac death can occur. However, anesthetic management for the perioperative period for patients with myocardial bridge has remained controversial. We present a case of anesthetic management for total gastrectomy in a previously healthy 56-year-old male patient, who exhibited T-wave inversion and ST-segment depression in ECG monitoring on arrival to the operating room. While delaying the operation for further study, he was diagnosed as having myocardial bridge on a 3D-coronary CT. After confirmation of the normal coronary angiography, the patient underwent total gastrectomy uneventfully. There is no substitute for vigilance regarding the anesthesiologist.

Keyword

Coronary CT; ECG; General anesthesia; Myocardial bridge

MeSH Terms

Anesthesia, General
Coronary Angiography
Death, Sudden, Cardiac
Depression
Electrocardiography
Gastrectomy
Heart Diseases
Humans
Infarction
Male
Middle Aged
Muscles
Myocardial Ischemia
Operating Rooms
Perioperative Period